MGCCC level 2 unit 1 Questions and
Answers 2024/2025
Which of the following is used to promote sodium reabsorption by the kidneys?
A. Antidiuretic hormone
B. ANP
C. aldosterone
D. parathyroid hormone
E. all of the above
C
A nurse is caring for a client who requires measurement of specific gravity every four hours.
What does this test detect?
A. nutritional deficit
B. hyperkalemia
C. hypercalcemia
D. Fluid volume status
D
What is the normal range for sodium?
136-145
What is the normal range for potassium?
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3.5-5.0
What is the normal range for calcium?
9.0-10.5
What is the normal range for magnesium?
1.3-2.1
What is the normal range for phosphorus?
3.0-4.5
During insertion of an IV catheter, a patient with dehydration reports feeling "pins and
needles" in his arm. The nurse is aware that this sensation may have been caused by what?
A. nerve puncture may have occured
B. the patients dehydration caused this sensation
C. the vein has collapsed during insertion
D. the vein has been accessed properly for the infusion
A
The nurse is making initial rounds on the nursing unit to assess the condition of assigned clients.
The nurse notes that the clients IV site is cool, pale, and swollen, and the solution is not infusing.
The nurse concludes that which of the following complications has occurred?
A. infection
B. phlebitis
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C. infiltration
D. thrombosis
C
A client rings the call bell and complains of pain at the site of an IV infusion. The nurse assesses
the site and determines that phlebitis has developed. The nurse should take which actions in the
care of this client?
A. notify the provider
B. remove IV catheter at that site
C. applies warm moist packs to the site
D. start a new IV proximal to the portion of the same vein
E. document the occurrence, actions taken, client response
ABCE
The nurse notes the site of a clients peripheral IV catheter is red and, warm, painful, and
slightly edematous, proximal to the insertion point of the IV catheter. After taking appropriate
steps to care for the client, the nurse documents in the medical record the client experienced:
A. phlebitis of the vein
B. infiltration of the IV line
C. hypersensitivity to the IV solution
D. allergic reaction to the IV catheter material
A
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A client at risk for developing hyperkalemia states "I love fruit and usually eat it every day,
but now I can't because of my high potassium level" How should the nurse respond?
A. "potatoes and avocados can be substituted for fruit"
B. "if you cook the fruit, the amount of potassium will be lower"
C. "berrries, cherries, apples and peaches are low in potassium"
D. "you are correct, fruit is very high in potassium"
C
What precautions should the nurse take when caring for a client with hypernatremia?
A. monitor vital signs and neuro status and implement seizure precautions, fall precautions
B. restrict fluid intake if retaining fluid
C. increase sodium intake
D. provide oral hygiene
E. diuretics, strict I&O's
ABDE
What foods should a client experiencing hypernatremia avoid?
A. salty snacks
B. canned food
C. pizza, soup, bread/rolls
D. cured meats, cold cuts
E. All of the above
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